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[Perinatal Campylobacter jejuni infection after Cesarean section]
N Nørskov-Lauritsen1, K M Lundahl, C Brun
1Aalborg Sygehus, klinisk mikrobiologisk afdeling, og Hjørring/Brønderslev Sygehus, gynaekologisk-obstetrisk afdeling og paediatrisk afdeling.
Ugeskrift for Laeger
|October 15, 1998
Summary
A woman developed a Campylobacter jejuni bloodstream infection after a Cesarean section. The bacteria were also found in the mother and infant, suggesting potential transmission during childbirth.
Area of Science:
- Obstetrics and Gynecology
- Infectious Diseases
- Neonatal Medicine
Background:
- Postpartum infections pose significant risks to maternal and infant health.
- Campylobacter jejuni is a common cause of bacterial gastroenteritis.
Observation:
- A 23-year-old woman presented for delivery with preceding gastrointestinal symptoms.
- Following a Cesarean section, the patient developed fever and sepsis.
- Campylobacter jejuni was identified in maternal blood, feces, and infant feces.
Findings:
- The patient experienced a postpartum bloodstream infection with Campylobacter jejuni.
- Evidence suggests Campylobacter jejuni transmission to the infant.
- The likely route of infection was ascending from the vagina after membrane rupture, though transplacental transmission cannot be excluded.
Implications:
- This case highlights the potential for Campylobacter jejuni to cause severe postpartum infections.
- Early identification and treatment are crucial for managing maternal and neonatal outcomes.
- Further research is needed to elucidate the precise mechanisms of Campylobacter jejuni transmission in pregnancy and postpartum.